BRIAN M MILLER Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044010491

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

Last Name

MILLER

Business Name

BRIAN M MILLER

Original Issue Date

07/22/2009

Effective Date

10/20/2009

Expiration Date

11/30/2011

City

PLEASANT PLAINS

State

Zip

62677

County

SANGAMON

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

01/05/2012